Provider Demographics
NPI:1932319951
Name:WILSON, WARREN D (BSW)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:D
Last Name:WILSON
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1689
Mailing Address - Country:US
Mailing Address - Phone:720-231-3029
Mailing Address - Fax:
Practice Address - Street 1:65 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1689
Practice Address - Country:US
Practice Address - Phone:720-231-3029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health